- Travelers Insurance Company (Melville, NY)
- …resolving assigned Specialty Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer ... job does not manage staff. **What Will You Do?** + Directly handles assigned claims . + Provides quality customer service and ensures file quality and timely coverage… more
- Mount Sinai Health System (New York, NY)
- **Job Description** Responsible for ensuring that unpaid and partially paid claims are resolved in an efficient and timely manner. Resolves EOB discrepancies and ... ICD (coding and CCI edits). + Anesthesiology Experience Preferred + Electronic claims processing preferred. **Responsibilities** + Follows up on submitted claims… more
- Molina Healthcare (Rochester, NY)
- …execute effective Payment Integrity strategies through both pre-payment and post payment claims reviews, aligning with industry and corporate standards as well as ... Clinician. This includes assessing medical documentation, itemized bills, and claims data to ensure appropriate payment levels, optimize resource utilization,… more
- University of Rochester (Albany, NY)
- …individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The Claims Resolution Representative III is responsible for working across the ... all open accounts receivable to successful closure. Responsible for effective claims follow-up on complex, multi-faceted accounts to obtain maximum revenue… more
- Stony Brook University (East Setauket, NY)
- …support day-to-day business functions including but not limited to: billing, claims analysis appeals, follow-up, financial assistance and customer service. **Duties ... are not limited to:** + Prepare and submit hospital claims . Review denials. Investigate coding issue. Audits. + Follow-up...coding issue. Audits. + Follow-up on rejected or denied claims , improper payments and coding issues. + Process appeals.… more
- City of New York (New York, NY)
- …together. The Bureau of Law & Adjustment is responsible for investigating and adjusting claims filed for and against the City of New York. The Property Damage ... Division investigates and resolves tort claims including, but not limited to, automobile accidents, defective...following: - Completing a full investigation of property damage claims against the City of New York, which includes… more
- University of Rochester (Rochester, NY)
- …independent decisions as to the processes necessary to collect denied insurance claims , no response accounts, and will investigate resolving billing issues. Maintain ... limited to: telephone, photocopy machine, adding machine, personal computer (for claims inquiry and entry software) fax/scanner, Microsoft Word, Excel, Access,… more
- CDPHP (Albany, NY)
- …performing a detailed mail sort, batch preparation, and scanning of all incoming claims and correspondence to facilitate and ensure compliance with all New York ... service levels. Ownership is assumed for all aspects of claims examining and data entry on the FormWorks system,...interpreting Desk Levels to accurately examine and data enter claims via OCR, Key from Image, and Key Entry.… more
- Sedgwick (Albany, NY)
- …**_Bilingual/French Speaking Desk Adjuster_** **PRIMARY PURPOSE** **:** Handles losses and claims valued up to $15,000 for property and casualty insurers through ... processing. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Evaluates insurance policies, claims forms, policies, endorsements, carrier instructions, and other records… more
- City of New York (New York, NY)
- …responsible specialized administrative work supervising the functions of the City-wide Claims Units and/or supervising the functions of the City-wide Special ... Projects Units. The City-wide Claims Units are responsible for determining if Food Stamp claims should be filed on cases with change actions resulting in a… more